Effects of prolonged use of intermittent pneumatic compression devices on preventing deep vein thrombosis of lower extremities in patients with severe stroke
10.3760/cma.j.issn.1674-2907.2019.22.013
- VernacularTitle:延长间歇式充气压力泵应用时间在预防重症脑卒中患者下肢深静脉血栓形成中的应用效果
- Author:
Lichao GONG
1
;
Fang LIU
;
Ting YANG
Author Information
1. 首都医科大学宣武医院神经内科ICU
- Keywords:
Stroke;
Intensive Care Unit;
Deep vein thrombosis of lower extremities;
Intermittent pneumatic compression devices;
Time
- From:
Chinese Journal of Modern Nursing
2019;25(22):2829-2832
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the preventive effects of different application time of intermittent pneumatic compression devices (IPC) on deep vein thrombosis (DVT) of lower extremities in patients with severe stroke. Methods? Totally 154 stroke patients from the Neurological Intensive Care Unit, Xuanwu Hospital, Capital Medical University were selected by convenient sampling from September 2017 to August 2018. Totally 77 patients admitted from September 2017 to February 2018 were included into the control group, while another 77 patients admitted from March to August 2018 were included into the intervention group. IPC was applied to patients in the control group twice a day and for 1 h each time, while it was applied to patients in the intervention group consecutively for 12 h each day. The incidence rate and time of DVT was compared between the two groups. Results? A total of 20 (26.0%) cases with DVT were found in the intervention group, while 22 (28.6%) cases were found in the control group, and there was no statistically significant difference in the incidence rate of DVT between the two groups (χ2=0.131, P>0.05). The median incidence time of DVT in the intervention group was 9.00 d, while that in the control group was 3.50 d, and there was statistically significant difference in the incidence time of DVT between the two groups (Z=-2.344, P<0.05). Conclusions? Prolonged use of IPC in patients with severe stroke may delay the incidence time of DVT, though it cannot reduce its incidence rate.